_____30 Mile ____50 Mile
In consideration of this entry form being accepted, I for myself, my heirs,
administrators and assigns hereby waive and release and all rights and claims
of nature that I may have against the sponsors and or organizers of this ride.
Age _______ Cell Phone_______________________________
City___________________________ State_____ Zip_________
(Parent or guardian signature for applicant under 18 years of age)